scholarly journals The Surgical Site Infection Risk Score (SSIRS): A Model to Predict the Risk of Surgical Site Infections

PLoS ONE ◽  
2013 ◽  
Vol 8 (6) ◽  
pp. e67167 ◽  
Author(s):  
Carl van Walraven ◽  
Reilly Musselman
Keyword(s):  
Surgical Site Infection ◽  
Risk Score ◽  
Surgical Site Infections ◽  
Infection Risk ◽  
Site Infection

scholarly journals Cost–benefit analysis of surveillance for surgical site infection following caesarean section

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e036919 ◽  
Author(s):  
Catherine Wloch ◽  
Albert Jan Van Hoek ◽  
Nathan Green ◽  
Joanna Conneely ◽  
Pauline Harrington ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Health Service ◽  
Surgical Site Infection ◽  
Effective Means ◽  
Surgical Site Infections ◽  
Infection Risk ◽  
Baseline Risk ◽  
Site Infection ◽  
Risk Of Infection ◽  
Surveillance Strategy

ObjectiveTo estimate the economic burden to the health service of surgical site infection following caesarean section and to identify potential savings achievable through implementation of a surveillance programme.DesignEconomic model to evaluate the costs and benefits of surveillance from community and hospital healthcare providers’ perspective.SettingEngland.ParticipantsWomen undergoing caesarean section in National Health Service hospitals.Main outcome measureCosts attributable to treatment and management of surgical site infection following caesarean section.ResultsThe costs (2010) for a hospital carrying out 800 caesarean sections a year based on infection risk of 9.6% were estimated at £18 914 (95% CI 11 521 to 29 499) with 28% accounted for by community care (£5370). With inflation to 2019 prices, this equates to an estimated cost of £5.0 m for all caesarean sections performed annually in England 2018–2019, approximately £1866 and £93 per infection managed in hospital and community, respectively. The cost of surveillance for a hospital for one calendar quarter was estimated as £3747 (2010 costs). Modelling a decrease in risk of infection of 30%, 20% or 10% between successive surveillance periods indicated that a variable intermittent surveillance strategy achieved higher or similar net savings than continuous surveillance. Breakeven was reached sooner with the variable surveillance strategy than continuous surveillance when the baseline risk of infection was 10% or 15% and smaller loses with a baseline risk of 5%.ConclusionSurveillance of surgical site infections after caesarean section with feedback of data to surgical teams offers a potentially effective means to reduce infection risk, improve patient experience and save money for the health service.

scholarly journals A New Surgical Site Infection Risk Score: Infection Risk Index in Cardiac Surgery

2019 ◽  
Vol 8 (4) ◽  
pp. 480 ◽  
Author(s):  
Juan Bustamante-Munguira ◽  
Francisco Herrera-Gómez ◽  
Miguel Ruiz-Álvarez ◽  
Ana Hernández-Aceituno ◽  
Angels Figuerola-Tejerina
Keyword(s):  
Cardiac Surgery ◽  
Surgical Site Infection ◽  
Risk Score ◽  
Artery Bypass ◽  
Characteristic Curve ◽  
Risk Index ◽  
Bypass Graft ◽  
Test Sample ◽  
Infection Risk ◽  
Site Infection

Various scoring systems attempt to predict the risk of surgical site infection (SSI) after cardiac surgery, but their discrimination is limited. Our aim was to analyze all SSI risk factors in both coronary artery bypass graft (CABG) and valve replacement patients in order to create a new SSI risk score for such individuals. A priori prospective collected data on patients that underwent cardiac surgery (n = 2020) were analyzed following recommendations from the Reporting of studies Conducted using Observational Routinely collected health Data (RECORD) group. Study participants were divided into two periods: the training sample for defining the new tool (2010–2014, n = 1298), and the test sample for its validation (2015–2017, n = 722). In logistic regression, two preoperative variables were significantly associated with SSI (odds ratio (OR) and 95% confidence interval (CI)): diabetes, 3.3/2–5.7; and obesity, 4.5/2.2–9.3. The new score was constructed using a summation system for punctuation using integer numbers, that is, by assigning one point to the presence of either diabetes or obesity. The tool performed better in terms of assessing SSI risk in the test sample (area under the Receiver-Operating Characteristic curve (aROC) and 95% CI, 0.67/055–0.76) compared to the National Nosocomial Infections Surveillance (NNIS) risk index (0.61/0.50–0.71) and the Australian Clinical Risk Index (ACRI) (0.61/0.50–0.72). A new two-variable score to preoperative SSI risk stratification of cardiac surgery patients, named Infection Risk Index in Cardiac surgery (IRIC), which outperforms other classical scores, is now available to surgeons. Personalization of treatment for cardiac surgery patients is needed.

Development and Validation of a Preoperative Surgical Site Infection Risk Score for Primary or Revision Knee and Hip Arthroplasty

2016 ◽  
Vol 98 (18) ◽  
pp. 1522-1532 ◽  
Author(s):  
Joshua S. Everhart ◽  
Rebecca R. Andridge ◽  
Thomas J. Scharschmidt ◽  
Joel L. Mayerson ◽  
Andrew H. Glassman ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Risk Score ◽  
Hip Arthroplasty ◽  
Infection Risk ◽  
Site Infection ◽  
Knee And Hip Arthroplasty ◽  
Development And Validation

scholarly journals Reducing Veterinary Waste: Surgical Site Infection Risk and the Ecological Impact of Woven and Disposable Drapes

2019 ◽  
Vol 4 (3) ◽  
Author(s):  
Molly Vasanthakumar
Keyword(s):  
Surgical Site Infection ◽  
One Health ◽  
Ecological Impact ◽  
Surgical Site Infections ◽  
Infection Risk ◽  
Site Infection ◽  
Veterinary Profession ◽  
Health Concept ◽  
The One

PICO questionIn animals undergoing surgery, does the use of disposable synthetic drapes reduce the risk of surgical site infections when compared to reusable woven drapes?Clinical bottom lineCurrent literature on the risk of surgical site infection with disposable and reusable drapes in animals is limited. Three human studies were reviewed, one systematic review and two controlled trials. Both these study types generally provide high levels of evidence; however their individual limitations reduce the quality of their data. Overall the results were mixed, and due to the small number of reviewed papers and the fact that only one study specifically measured surgical site infection as the outcome, it is not possible to conclude that disposable drapes reduce the risk of surgical site infections (SSI) when compared to reusable drapes.The impact of the veterinary profession on the ecosystem is often ignored. When following the One Health concept, vets must consider the ecological impact of clinical decisions. Choosing reusable drapes for certain clean, elective procedures may be a way to reduce waste without compromising the health of patients.

scholarly journals Surgical site infections in adults patients undergoing of clean and contaminated surgeries at a university Brazilian hospital

2010 ◽  
Vol 47 (4) ◽  
pp. 383-387 ◽  
Author(s):  
Maria de Lourdes Gonçalves Santos ◽  
Renata Rezende Teixeira ◽  
Augusto Diogo-Filho
Keyword(s):  
Surgical Site Infection ◽  
Risk Index ◽  
Surgical Site Infections ◽  
Infection Risk ◽  
University Hospital ◽  
Site Infection ◽  
Global Index ◽  
Post Discharge ◽  
Infection Surveillance

CONTEXT: Surgical site infections are a risk inherent to surgical procedures, especially after digestive surgeries. They occur up to 30 days after surgery, or up to a year later if a prosthesis is implanted. The Surgical-site Infection Risk Index (SIRI), NISS (National Nosocomial Infection Surveillance) methodology, is a method to evaluate the risk of surgical site infections, which takes into account the potential contamination of the surgery, the patient's health status and surgery duration. OBJECTIVES: To evaluate the correlation between the surgical-site infection risk index score on the 1st day postoperatively, and the development of surgical site infection up to 30 days postoperatively. METHODS: The postoperative surgical site infections (NNIS) was evaluated by following-up in hospital and as an outpatient. The patients followed prospectively were those submitted to elective surgeries, clean (hernioplasties) or contaminated (colorretal), performed by conventional approach at a university hospital, during the period from June 2007 to August 2008. The mean age of the patients was 55.5 years, 133 (65.5%) male; 120 (59.1%) submitted to clean surgeries and 83 (40.9%) contaminated. RESULTS: The global index of surgical site infections was 10.3%; 10 (8.3%) in clean procedures and 111(3.2%) in contaminated ones. Four (19.1%) of the surgical site infections were diagnosed at the time of hospitalization and 17 (80.9%) at post-discharge follow-up. Twelve (57.1%) of the surgical site infections were superficial, 2 (9.5%) deep and 7 (33.3%) at a specific site. Of these, 5 (6.6%) were in patients classified as SIRI 0 (76); 9 (15%) for SIRI 1 (60); 5 (9.1%) for SIRI 2 (55) and 2 (16.7%) for SIRI 3. CONCLUSION: The global index of surgical site infections and its incidence among contaminated procedures are within the expected limits. On the other hand according to SIRI, the surgical site infection indexes are above the expected standards both for the clean and for the contaminated procedures.

Surgical Site Infections - A Hospital Havoc: Retrospective Study of Surgical Site Infections in Tertiary Health Care Centre in North East India

2018 ◽  
Vol 3 (01) ◽  
Author(s):  
V Singh ◽  
A B Khyriem, W V Lyngdoh ◽  
C J Lyngdoh
Keyword(s):  
Surgical Site Infection ◽  
Multiple Drug Resistance ◽  
Surgical Site Infections ◽  
Multidrug Resistant ◽  
Multiple Drug ◽  
Site Infection ◽  
Retrospective Case ◽  
Acinetobacter Baumanii ◽  
Health Care Centre ◽  
North East

Objectives - Surgical site infections (SSI) has turn out to be a major problem even in hospital with most modern facilities and standard protocols of pre -operative preparation and antibiotic prophylaxis. Objective of this study is to know the prevalence of surgical site infection among the postoperative patients and to identify the relationship between SSI and etiological pathogens along with their antimicrobial susceptibility at North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong. Methods - A retrospective case study conducted at NEIGRIHMS, among patients admitted to the surgical departments during the period between January 1st and December 31st 2016. Swabs from the surgical sites were collected under sterile conditions and standard bacteriological tests were performed for identification and appropriate statistical methods were employed to look for association between SSI and etiological pathogens. Results - Out of the 1284 samples included in the study, 192 samples showed evidence of SSI yielding an infection rate of 14.9%. The most commonly isolated bacteria were: Escherichia coli, Acinetobacter baumanii and Staphylococcus aureus, of the gram negative isolates 6.2% were multidrug resistant of which 19% were carbapenem resistant. Conclusion - SSI with multiple drug resistance strains and polymicrobial etiology reflects therapeutic failure. The outcome of the SSI surveillance in our hospital revealed that in order to decrease the incidence of SSI we would have to: a) incorporate a proper antibiotic stewardship  b) conduct periodic surveillance to keep a check on SSI d) educate medical staffs regarding the prevention of surgical site infection.

58 Use of Abdominal Wall or Sucutaneous Drain to Reduce the Risk of Surgical Site Infections

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
H Mistry ◽  
B Woolner ◽  
A John
Keyword(s):  
Surgical Site Infection ◽  
Open Cholecystectomy ◽  
Surgical Site Infections ◽  
Standard Operating Procedure ◽  
Site Infection ◽  
Infection Rates ◽  
Local Evidence ◽  
Audit Data ◽  
The Impact ◽  
To Receive

Abstract Introduction Open abdominal surgery confers potentially greater risk of surgical site infections, and local evidence suggests use of drains can reduce this. Our objectives were: Assessing local rates and risk factors of infections and if use of drains can reduce the rates of infections. Method Retrospectively looking from 01/01/2018 to 31/12/2018, at patients following laparotomy or open cholecystectomy. Data collection on demographics, smoking/alcohol status, heart, respiratory or renal disease or diabetes, steroid use and CEPOD status, as well as use of drain and the outcome of infection using inpatient and online patient records. Results 84 patients included, 25 had drains inserted. There were 13 documented cases of surgical site infection, all of whom had no drain post-op. Other parameters shown to be most prevalent in the patients with a surgical site infection include being current/ex-smoker (8/13), having heart disease (9/13), and elective procedures. Conclusions Aiming to reduce the risk of surgical site infections can improve morbidity and potentially mortality outcomes. Our audit data showed that there appears to be a benefit of inserting intra-abdominal or subcutaneous drains. We will create a standard operating procedure of all patient to receive drains post-op and then re-audit to assess the impact this has on infection rates.

scholarly journals Albumin and surgical site infection risk in orthopaedics: a meta-analysis

BMC Surgery ◽  
2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Peizhi Yuwen ◽  
Wei Chen ◽  
Hongzhi Lv ◽  
Chen Feng ◽  
Yansen Li ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Meta Analysis ◽  
Infection Risk ◽  
Site Infection

Surgical Site Infection as a Surrogate Marker of Physician Impairment

2009 ◽  
Vol 30 (11) ◽  
pp. 1120-1122 ◽  
Author(s):  
Robert J. Sherertz ◽  
Tobi B. Karchmer
Keyword(s):  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Surgical Site Infection ◽  
Surrogate Marker ◽  
Surgical Site Infections ◽  
Baseline Period ◽  
Site Infection ◽  
Hepatitis C Virus Infection ◽  
Physician Impairment

Our report details an implant-associated outbreak of surgical site infections related to the adverse effects of treatment for hepatitis C virus infection administered to surgeon X. During the 12-month period of this outbreak, 14 (9.5%) of 148 of surgeon X's patients developed a surgical site infection, a rate of SSI that was 8-fold higher than the rate during the 14-month baseline period or the 14-month follow-up period (P = .001), and higher than the rate among peer surgeons (P = .02).

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